Provider Demographics
NPI:1235219932
Name:HANCOCK COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:HANCOCK COUNTY HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:ASPY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:317-477-1125
Mailing Address - Street 1:111 AMERICAN LEGION PLACE RM 150
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46140
Mailing Address - Country:US
Mailing Address - Phone:317-477-1125
Mailing Address - Fax:317-477-1154
Practice Address - Street 1:111 AMERICAN LEGION PLACE RM 150
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:IN
Practice Address - Zip Code:46140
Practice Address - Country:US
Practice Address - Phone:317-477-1125
Practice Address - Fax:317-477-1154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2019-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28125428A163WC1500X
261QP0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
No163WC1500XNursing Service ProvidersRegistered NurseCommunity HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
INTA7030Medicare PIN